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1.
Emergency medical service (EMS) personnel are highly skilled health care professionals who often provide lifesaving clinical care to patients. Paradoxically, they may be repeatedly exposed to a unique set of occupational hazards that could endanger their own health. This cross-sectional study sought to examine the relation between resiliency and musculoskeletal injuries (MSIs) and between resiliency and lost workdays due to MSIs, and explore whether age modifies these associations. Multivariable Poisson main effects regression models showed that resiliency had a protective effect against MSIs, but not lost workdays. In the unadjusted regression model to evaluate the relation between resiliency and age, results suggested that no differences in distributions existed between younger and older EMS personnel and resiliency. However, given the same unit increase in resiliency, findings from multivariable Poisson interaction regression models indicated that older workers had a higher prevalence of MSIs and lost workdays than younger workers. Results from main effects models may reflect diverging routes on a pathophysiological pathway, in which resiliency acts as a prognostic factor for MSIs but not lost workdays. Findings might also indicate the association between resiliency, and MSIs and lost workdays varies by age.Relevance to industryThe largest growth of labor in the US is expected to occur in the oldest segments of the population. While older workers may offer more experience and show similar resiliency to younger workers, they might be more vulnerable to individual risk factors and occupational exposures. If management wants to retain older workers as assets, they should design the work environment to match the capabilities of all workers. 相似文献
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Alessandro Gobbi Daniele Manerba Renata Mansini Roberto Zanotti 《International Transactions in Operational Research》2023,30(1):8-38
The average age of the population has grown steadily in recent decades along with the number of people suffering from chronic diseases and asking for treatments. Hospital care is expensive and often unsafe, especially for older individuals. This is particularly true during pandemics as the recent SARS-CoV-2. Hospitalization at home has become a valuable alternative to face efficiently a huge increase in treatment requests while guaranteeing a high quality of service and lower risk to fragile patients. This new model of care requires the redefinition of health services organization and the optimization of scarce resources (e.g., available nurses). In this paper, we study a Nurse Routing Problem that tries to find a good balance between hospital costs reduction and the well-being of patients, also considering realistic operational restrictions like maximum working times for the nurses and possible incompatibilities between services jointly provided to the same patient. We first propose a Mixed Integer Linear Programming formulation for the problem and use some valid inequalities to strengthen it. A simple branch-and-cut algorithm is proposed and validated to derive ground benchmarks. In addition, to efficiently solve the problem, we develop an Adaptive Large Neighborhood Search hybridized with a Kernel Search and validate its performance over a large set of different realistic working scenarios. Computational tests show how our matheuristic approach manages to find good solutions in a reasonable amount of time even in the most difficult settings. Finally, some interesting managerial insights are discussed through an economic analysis of the operating context. 相似文献
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对"文脉"一词进入中国建筑话语的历史作出概览式的回顾,并分别以"阙里宾舍"和"西单商业大楼"为例,从设计者的自述与建筑界的评论入手,探讨1980年代末到1990年代初"文脉热"兴起的可能原因。指出对"复古主义"的批判和创作有"民族特色"建筑的愿望是"文脉"一词背后潜在的诉求,同时,也警醒地看到,基于特定时代背景,中国建筑界对西方后现代主义等建筑思潮不可避免地片面理解和吸收,也造成了"文脉"逐渐丧失了其本应具有的批判性与创造力。 相似文献
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Considering autonomous mobile robots with a variety of specific functions as a kind of service, when there are many types and quantities of services and the density of regional services is large, proposing an algorithm of Circular Area Search (CAS) because of the problem of multi-robot service scheduling in various areas. Firstly, Django is used as the web framework to build the Service-Oriented Architecture (SOA) multi-robot service cloud platform, which is the basic platform for multi-service combination. Then, the service type, the latitude and longitude and the scoring parameters of the service are selected as the service search metrics to design the CAS algorithm that based on the existing service information registered in MySQL and the Gaode Map for screening optimal service, and then providing the service applicant with the best service. Finally, the service applicant applies for the self-driving tour service as an example to perform performance simulation test on the proposed CAS algorithm. The results show that the CAS algorithm of the multi-robot service cloud platform proposed in this paper is practical compared to the global search. And compared with the Greedy Algorithm experiment, the service search time is reduced about 58% compared with the Greedy Algorithm, which verifies the efficiency of CAS algorithm. 相似文献
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Xiaojia Wang Mi Chen Wei Xia Keyu Zhu Shanshan Zhang Weiqun Xu Yuxiang Guan 《Expert Systems》2020,37(2):e12484
In China, Type 2 diabetes mellitus (T2DM) is increasingly affecting people's health. Although many risk factors related to T2DM have been researched, the association between social relationships and risk management of T2DM in China has not been fully researched. Therefore, we obtained 2,969 valid cases from the National Chinese Medicine Clinical Research Base-Key Disease of Diabetes Mellitus Study to evaluate the role of social relationships in the risk management of T2DM. We first establish an indicators system of social relationship factors and then propose a comprehensive method that integrates subjective (analytical network process) and objective (entropy weight method) evaluations to rank the importance of the 17 social relationship factors that were the most important and commonly used. The results suggest that different social relationship factors have different effects on the risk management of T2DM. Patients and health workers should pay more attention to the high-benefit factors and thus improve the efficiency of the risk management of T2DM. These findings provided theoretical support for patients and health workers by developing the positive effects of social relationships in improving the risk management of T2DM to the fullest degree. 相似文献
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杨帆 《吉林化工学院学报》2020,37(10):79-82
近年来,以推进基本公共服务均等化为依托而促进养老等社会服务的发展已成为各省市的重点工作之一,立足于吉林市市情,通过调查研究、定量分析等方式探索本地社区养老存在的问题以及对策。 相似文献
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Combinatorial auction is a useful trade manner for transportation service procurements in e-marketplaces. To enhance the competition of combinatorial auction, a novel auction mechanism of two-round bidding with bundling optimization is proposed. As the recommended the auction mechanism, the shipper/auctioneer integrates the objects into several bundles based on the bidding results of first round auction. Then, carriers/bidders bid for the object bundles in second round. The bundling optimization is described as a multi-objective model with two criteria on price complementation and combination consistency. A Quantum Evolutionary Algorithm (QEA) with β-based rotation gate and the encoding scheme based on non-zero elements in complementary coefficient matrix is developed for the model solution. Comparing with a Contrast Genetic Algorithm, QEA can achieve better computational performances for small and middle size problems. 相似文献
10.
Transportation demand of shipping container fluctuates due to the seasonality of international trade, thus, every 3–6 months, the liner company has to alter its current liner shipping service network, redeploy ships and design cargo routes with the objective of minimizing the total cost. To solve the problem, the paper presents a mixed integer linear program model. The proposed model incorporates several relevant constraints, such as weekly frequency, the transshipment of cargo between two or more service routes, and transport time. Extensive numerical experiments based on realistic date of Asia–Europe–Oceania shipping operations show that the proposed model can solve real-case problems efficiently by CPLEX. The results demonstrate that the model can reduce ship’s capacity consumption and raise ships’ capacity utilization. 相似文献